摘要
类风湿关节炎为自身免疫性疾病,为临床难治病,以对称性、侵蚀性多关节炎为主要见症,可致关节软骨与周围软组织受损,甚则侵蚀至骨,累及多脏器。西药尚无特效药物,且抗风湿药物不良反应较多,使得不少患者难以坚持服药。中医药治疗该病独具优势,柴胡桂枝汤作为一首名方,用治类风湿关节炎应用面很广,用治得当,柴胡桂枝汤确为祛病之方。类风湿关节炎之病机为正虚邪实者颇多,而该方组方用药贯穿扶正祛邪,用药考究,配伍得当,恢复脾升胃降之功能,且能缓急止痛。应用柴胡桂枝汤治疗该病,对少阳兼太阳之证,疗效确切,拟从太少同病,痹初效佳;痹变诸症,间者并行;疏通三焦,调畅气机;重视气化,验之不忒等方面进行阐述。并以临床验案佐证该方之效用,临床验证柴胡桂枝汤治疗类风湿关节炎有效,至于对病情发展是否有控制与根治作用,尚需进一步研究证实。
Rheumatoid arthritis is an autoimmune disease and is difficult to treat clinically.The main symptom of rheumatoid arthritis is symmetrical and erosive polyarthritis,which can damage the articular cartilage and surrounding soft tissue,and even erodes bone and involves multiple organs.Western medicine has no specific drug and there are many adverse reactions of antirheumatic drugs,which makes it difficult for many patients to insist on taking drugs.Traditional Chinese medicine has unique advantages on treating this disease.Chaihu Guizhi Decoction(柴胡桂枝汤),as a famous prescription,is widely used to treat rheumatoid arthritis.The pathogenesis of rheumatoid arthritis is healthy energy deficiency and evil excess,and this prescription runs through strengthening body resistance and eliminating evil,with exquisite medication and proper compatibility,and can recover the functions of spleen ascending and stomach descending and relieve pain urgently.The application of Chaihu Guizhi Decoction in the treatment of this disease has definite curative effect on the syndromes of Shaoyang and Taiyang.This article is intended to elaborate from the following aspects:the treatment of comorbidity of Taiyang and Shaoyang can obtain a good initial effect;Bi syndrome is derived from a variety of changes in the disease,mild symptoms can be used together with a variety of therapies.The treatment is dredging the triple energizer and regulating Qi activity;the prescription attaches great importance to Qi movement and has definite curative effect when applied clinically.It is proved that Chaihu Guizhi Decoction is effective in the treatment of rheumatoid arthritis.Whether it can control and cure the disease needs further study and confirmation.
作者
辛小红
袁晓霞
蒋洁
姜德
XIN Xiaohong;YUAN Xiaoxia;JIANG Jie;JIANG De(Xinjiang Medical University,Urumqi 830054,Xinjiang,China)
出处
《辽宁中医杂志》
CAS
2021年第8期39-41,共3页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81760912)
关键词
柴胡桂枝汤
类风湿关节炎
方证应用
Chaihu Guizhi Decoction(柴胡桂枝汤)
rheumatoid arthritis
prescription application
